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Abdomen » Hepatobiliary
Portal cavernoma [Cavernous transformation of the portal vein]
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Author(s) :
Vikas Arora, MD
 
Presentation A young man presents with vague pain in upper abdomen. He had a history of neonatal sepsis in the first 2 months of life.
 
 
 
Caption: Scans at the porta
Description: The portal vein is not identified at the porta hepatis. Instead, multiple tortuous tubular cystic areas representing venous shunts are seen. These completely fill with color.
 
 
 
Caption: Scans at the porta
Description: The multiple cystic channels fill with color, consistent with dilated, tortuous vessels representing a portal cavernoma.
 
Differential Diagnosis

Portal cavernoma

 
Final Diagnosis Portal cavernoma
 
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